Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $7,943.28 / $27,542.29	Facility		$5,754.40	$7,943.28	$27,542.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,951.21 / $3,548.13	Professional		$2,570.40	$2,951.21	$3,548.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,090.30 / $8,912.51	Facility		$1,621.81	$3,090.30	$8,912.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $2,238.72	Professional		$208.93	$208.93	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,265.80 / $6,025.60	Facility		$2,398.83	$4,265.80	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,466.84 / $5,370.32	Professional		$2,951.21	$4,466.84	$5,370.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $3,715.35 / $5,623.41	Professional		$912.01	$3,715.35	$5,623.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Select Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $3,890.45	Professional		$1,548.82	$1,548.82	$3,890.45